| Entity Name: | ALARICHEALTHLAKECITY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Feb 2024 (a year ago) |
| Document Number: | P24000014033 |
| FEI/EIN Number | 991582531 |
| Address: | 480 SW MAIN BLVD, LAKE CITY, FL, 32025, US |
| Mail Address: | 480 SW MAIN BLVD, LAKE CITY, FL, 32025, US |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427808757 | 2024-03-27 | 2024-05-23 | 455 EDGEWOOD AVE S, JACKSONVILLE, FL, 322053727, US | 455 EDGEWOOD AVE S, JACKSONVILLE, FL, 322053727, US | |||||||||||||||||||||||
|
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| Phone | +1 904-384-9007 |
| Fax | 9043842899 |
Authorized person
| Name | JAMES C WHITED JR. |
| Role | OWNER |
| Phone | 9043849007 |
Taxonomy
| Taxonomy Code | 163WE0003X - Emergency Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WP0808X - Psychiatric/Mental Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WHITED JAMES | Agent | 455 EDGEWOOD AVE S, JACKSONVILE, FL, 32205 |
| Name | Role | Address |
|---|---|---|
| WHITED JAMES CJR | Director | 480 SW MAIN BLVD, LAKE CITY, FL, 32025 |
| WILIIAMS JASON W | Director | 480 SW MAIN BLVD, LAKE CITY, FL, 32025 |
| Name | Role | Address |
|---|---|---|
| WHITED JAMES CJR | President | 480 SW MAIN BLVD, LAKE CITY, FL, 32025 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS JASON WJR | Vice President | 480 SW MAIN BLVD, LAKE CITY, FL, 32025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000040949 | JIROMA | ACTIVE | 2024-03-22 | 2029-12-31 | No data | 480 SW MAIN BLVD, LAKE CITY, FL, 32055 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-02-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
